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支气管食管瘘：内镜下静脉曲张硬化治疗的晚期并发症。

Broncho-oesophageal fistula: a late complication of endoscopic variceal sclerotherapy.

作者信息

Carr-Locke D L, Sidky K

出版信息

Gut. 1982 Nov;23(11):1005-7. doi: 10.1136/gut.23.11.1005.

DOI:10.1136/gut.23.11.1005
PMID:6982195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1419802/
Abstract

A case is reported of delayed broncho-oesophageal fistula presenting several weeks after fibreoptic injection sclerotherapy for oesophageal varices in a patient with chronic active hepatitis who eventually died from bronchopneumonia. Such serious complications of injection sclerotherapy should be kept in mind with the increasing popularity of this method of early treatment of bleeding oesophageal varices.

摘要

本文报告了一例延迟性支气管食管瘘的病例。该患者患有慢性活动性肝炎，在接受食管静脉曲张的纤维内镜注射硬化治疗数周后出现了这种情况，最终死于支气管肺炎。随着这种早期治疗食管静脉曲张出血方法的日益普及，应牢记注射硬化治疗的此类严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c2/1419802/b9757140094d/gut00420-0104-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c2/1419802/fd580c7d5faf/gut00420-0104-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c2/1419802/b9757140094d/gut00420-0104-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c2/1419802/fd580c7d5faf/gut00420-0104-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c2/1419802/b9757140094d/gut00420-0104-b.jpg

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2
Esophagobronchial fistula complicated by esophageal achalasia treated by per-oral endoscopic myotomy.经口内镜肌切开术治疗食管失弛缓症并发食管支气管瘘。
Clin J Gastroenterol. 2020 Dec;13(6):1051-1056. doi: 10.1007/s12328-020-01226-0. Epub 2020 Sep 9.
3
Congenital broncho-oesophageal fistula: An unusual cause of persistent pneumonia in a young adult.

本文引用的文献

1
Bleeding varices: 1. Emergency management.静脉曲张出血：1. 急诊处理。
Can Med Assoc J. 1981 Jan 1;124(1):29-41.
2
Endoscopic sclerotherapy in acute variceal hemorrhage.急性静脉曲张出血的内镜下硬化治疗
Am J Surg. 1981 Jan;141(1):164-8. doi: 10.1016/0002-9610(81)90031-3.
3
Sclerotherapy of esophageal varices.食管静脉曲张硬化疗法
先天性支气管食管瘘：青年成人持续性肺炎的罕见病因。
Respir Med Case Rep. 2013 Jan 12;8:21-4. doi: 10.1016/j.rmcr.2012.12.003. eCollection 2013.
4
Complications and limitations of injection sclerotherapy in portal hypertension.门静脉高压症注射硬化治疗的并发症与局限性
Gut. 1993 Jan;34(1):7-10. doi: 10.1136/gut.34.1.7.
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Esophageal perforations masked by steroids.被类固醇掩盖的食管穿孔
Abdom Imaging. 1993;18(1):10-2. doi: 10.1007/BF00201691.
6
Perforation of esophagus after endoscopic variceal sclerotherapy. Incidence and clues to pathogenesis.内镜下静脉曲张硬化治疗后食管穿孔。发病率及发病机制线索。
Dig Dis Sci. 1989 Mar;34(3):324-9. doi: 10.1007/BF01536250.
7
A clinical controlled trial of endoscopic sclerotherapy for repeated esophageal variceal bleeding.内镜下硬化剂治疗反复食管静脉曲张出血的临床对照试验
Gastroenterol Jpn. 1989 Feb;24(1):70-4. doi: 10.1007/BF02774874.
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Achalasia and development of benign esophagobronchial fistula.贲门失弛缓症与良性食管支气管瘘的发生
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Arch Surg. 1980 Apr;115(4):476-80. doi: 10.1001/archsurg.1980.01380040098017.
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Paravasal sclerotherapy without anaesthesia for variceal bleeding.不麻醉的旁静脉硬化疗法治疗静脉曲张出血
Lancet. 1980 Oct 11;2(8198):797. doi: 10.1016/s0140-6736(80)90405-5.
5
Prospective controlled trial of injection sclerotherapy in patient with cirrhosis and recent variceal haemorrhage.肝硬化合并近期静脉曲张出血患者注射硬化疗法的前瞻性对照试验
Lancet. 1980 Sep 13;2(8194):552-4. doi: 10.1016/s0140-6736(80)91990-x.
6
Adapting flexible endoscopes for sclerosis of oesophageal varices.使柔性内窥镜适用于食管静脉曲张硬化治疗
Lancet. 1980 Feb 2;1(8162):266. doi: 10.1016/s0140-6736(80)90764-3.
7
A review of 15 years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices.对15年使用硬化疗法控制食管静脉曲张急性出血经验的回顾。
Br J Surg. 1973 Oct;60(10):797-800. doi: 10.1002/bjs.1800601011.
8
Endoscopic sclerosis of experimental esophageal varices in dogs.犬实验性食管静脉曲张的内镜下硬化治疗
Gastrointest Endosc. 1978 Feb;24(3):114-6. doi: 10.1016/s0016-5107(78)73475-9.
9
Fibreoptic injection of oesophageal varices.纤维内镜下食管静脉曲张注射术
Br Med J. 1979 Sep 29;2(6193):766-7. doi: 10.1136/bmj.2.6193.766.
10
A prospective controlled trial of sclerotherapy in the long term management of patients after esophageal variceal bleeding.一项关于硬化疗法在食管静脉曲张破裂出血患者长期管理中的前瞻性对照试验。
Surg Gynecol Obstet. 1979 Mar;148(3):323-33.